Notice: Summer Camps
We have updated the list of summer camps that serve children with special health care needs in Texas. The link is under the Links heading at the bottom of this page.
Contents
Our History
Children's Health Insurance Program (CHIP)
Insurance Premium Payment Assistance (IPPA)
Medically Needy Program (MNP)
Parent/Provider Relations (PPR)
Renal Disease
Third Party Resource (TPR)
Forms and Publications
Links
- In 1995, the Chronically Ill and Disabled Children (CIDC) Program - Medically Needy Program (MNP) was established to identify CIDC clients eligible to apply for Medicaid, and to assist those clients with the process.
- In 1996, the role of CIDC-MNP expanded to include the Parent/Provider Relations (PPR) process of investigating and resolving bills that families receive from providers.
- In 1997, the role of CIDC-MNP expanded once again, this time to include Insurance Premium Payment Assistance (IPPA) and Third Party Resource (TPR). At this time the CIDC-MNP changed its name to CIDC- Client Support Services (CSS).
- In 1999, Senate Bill 374 (Acts of the 76th Texas Legislature) became effective and the Chronically Ill and Disabled Children (CIDC) program was renamed Children with Special Health Care Needs (CSHCN) Services Program.
- In 2000, the role of CSS expanded another time to identify CSHCN Services Program clients who enrolled in the state's new children's health insurance program, TexCare Partnership's Children's Health Insurance Program (CHIP).
- In 2001, the role of CSS further expanded to include the identification of CSHCN Services Program clients with renal disease who are in need of renal dialysis and are eligible to apply for Medicare, and to assist those clients with the process.
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The CSHCN Services Program determined that many clients might also be eligible for CHIP or may already be enrolled in CHIP. In September, 2000, the CSHCN Services Program began requiring all potentially CHIP-eligible clients to apply for CHIP. The CSHCN - CSS unit administers this process.
Frequently Asked Information
To request a CHIP application, call 1-800-647-6558.
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IPPA lets our program pay families back for the monthly cost of their private health insurance, except CHIP or the Texas High-Risk Pool. When you ask for IPPA, we’ll look to see if it costs less for us to pay for your health insurance than to pay your health care bills. If it does, then we can pay you back what you pay for your insurance every month.
Here’s how it works:
- Each month, you send us proof that you paid for your health insurance.
- We’ll pay you back the amount that covers the CSHCN Services Program client.
There are two ways to sign up:
- Call your local case worker or the central office at 1-800-252-8023.
- On your next renewal application, answer “Yes” to the question on page 3 that asks, “Do you need help paying for your insurance every month?”
Have you already signed up for IPPA?
Here are some things you may want to know:
- Fax proof of your payments to IPPA, toll-free 1-866-409-1188.
- Mail proof of your payments to:
IPPA
Texas Medicaid & Healthcare Partnership
PO Box 201120
Austin, TX 78720-9774
- For help, call the IPPA Client Helpline at 1-800-440-0493.
Frequently Asked Information
Call the Texas Medicaid & Healthcare Partnership (TMHP)-IPPA Client Helpline at 1-800-440-0493:
- To check the status of an application you previously submitted
- To check on an IPPA payment
Fax an application or proof of payment for reimbursement to TMHP-IPPA toll-free 1-866-409-1188.
Mail an IPPA Application or request for reimbursement to:
IPPA
Texas Medicaid & Healthcare Partnership
PO Box 201120
Austin, TX 78720-9774
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The CSHCN Services Program determined that many clients might also be eligible for Medicaid. On July 1, 1995, the CSHCN Services Program began requiring all potentially Medicaid-eligible clients to apply for Medicaid and the Medicaid Medically Needy Program (TP55). The CSHCN - CSS unit administers this process.
Frequently Asked Information
Helpful Numbers:
To request an extension, call 1-800-252-8023
To check eligibility status call 1-800-252-8023
To report problems with Medicaid, call 1-800-252-8023
MNP Mailing Address:
CSHCN Services Program, MC 1938
Texas Department of State Health Services
PO Box 149347
Austin, Texas 78714-9347
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Parent/Provider Relations (PPR) investigates the circumstances surrounding bills that parents or clients receive from providers. PPR determines who is responsible for the bill. Responsible parties may be the family, the provider or the CSHCN Services Program.
The family may be responsible if the client was not eligible at the time of service, if the family failed to notify the provider of CSHCN Services Program coverage, or if the services are beyond the scope of the CSHCN Services Program limitations.
The provider may be responsible for bills that were not paid by the CSHCN Services Program due to provider error(s). The provider may also be responsible for balances that remain after the CSHCN Services Program has paid. In these instances, PPR enforces the CSHCN Services Program rules to prevent the provider from billing the family.
The CSHCN Services Program may be responsible for bills that the CSHCN Services Program previously denied in error. PPR advises the provider on the payment of these claims.
PPR is a dynamic customer service oriented process.
Frequently Asked Information
Helpful Numbers:
To report a bill that you are receiving, call 1-800-252-8023
To check the status of a bill you previously reported, call 1-800-252-8023
PPR Mailing Address:
CSHCN Services Program, MC 1938
Texas Department of State Health Services
PO Box 149347
Austin, Texas 78714-9347
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The CSHCN Services Program allows for the reimbursement for renal dialysis on certain diagnoses; however the Program's specific benefits/limitations require a client to first apply for Medicare. The CSHCN Services Program reviews a client's case and refers all potentially Medicare-eligible clients to apply for Medicare. The CSHCN - CSS unit administers this process.
Frequently Asked Information
Helpful Numbers:
To request an extension, call 1-800-252-8023
To check eligibility status call 1-800-252-8023
To report problems with Medicare, call 1-800-252-8023
MNP Mailing Address:
CSHCN Services Program, MC 1938
Texas Department of State Health Services
PO Box 201120
Austin, TX 78720-1120
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State Laws require that the CSHCN Services Program funds may be used for payment only after all reasonable measures have been taken to use a client's third party resource. A third party resource is a source of payment, other than the CSHCN Services Program. Examples of third party resources are health insurance and Medicare.
The Third Party Resource section verifies and updates client's third party resource information.
Frequently Asked Information
Helpful Numbers:
CSHCN Services Program Toll Free Line 1-800-252-8023
To update your insurance information, call 1-800-252-8023
Insurance Information Mailing Address:
CSHCN Services Program Services Program, MC 1938
Texas Department of State Health Services
PO Box 149347
Austin, Texas 78714-9347
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The CSHCN Services Program continues to develop additional forms and publications to assist clients with their special needs.
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Send comments or report broken links by e-mail to CSHCN Services Program.